NPI 1396891933

James Lewis Wallace, CPO

Practitioner Orthotist Charlotte, NC

Practice location

Address: 1901 Brunswick Ave Suite 200, Charlotte, NC 28207-2809
Phone: (704) 348-4488
Fax: (704) 348-4496
Mailing address: PO Box 24905, Winston Salem, NC 27114-4905

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

Other Orthotist providers in North Carolina →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

Other Prosthetist providers in North Carolina →

Registry record

NPI: 1396891933
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2007
Record last updated: 23 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.